| NPI | 1487900619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17037) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2011021465) |
| 101YM0800X Counselor, Mental Health (Licence: KS 2100) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2019-06-14 |